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MARION COUNTY BUILDING INSPECTION <br />SENATOR 8LDG, NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 430 PM, - 8 00 A M <br /> <br />ow~TE: 05/12/89 TIME: 4:18=17p <br /> <br /> HOWARD RELOCATION GROUP <br />SITUS ADCRESS <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TtPE <br /> <br /> 155 PATTON ST <br />DETROIT <br /> <br />OR <br /> <br /> CONTRACT CITY <br /> <br />BETROTT <br /> <br />UGB <br /> <br />MID STATE REALTY/GARY STANFORDS <br />BOX DETROIT. OR 97342 <br />PHONE: 854-3387 <br /> <br />LOT BLOCK SECTION <br /> <br /> SITE NU~ER: <br /> VALUATION: <br /> TOWNSHIP RANGE <br /> <br />1 UNr'S 10 ~RR~ LOT 5E <br /> SF NO <br /> <br />WIOTH D~PTH AREA <br /> <br />NO <br /> <br />CATEGORY <br /> RES I DENT IAL <br />OCCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br /> 3 <br /> <br /> 7178 <br />ZONE MAP <br />COHNEH MF 105 <br />NO <br /> <br />TYPE: ON-SITE SENAGE <br /> <br />PEf:~,IlT OR APPLICATION NO.* <br /> <br />15709 <br /> <br />CONTRACTOR, NO. <br />HOWARD RELOCATION GROUP <br />MID STATE REALTY/GARY STANFORD~ <br />BOX DETROIT, OR 97342 <br />PHONE: 854-338? <br /> <br />MATER ~JPPLY: OW <br />TEST HOLES READY: <br />SITE EVALUATION NUIV~ER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: 4-21-89 <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM <br />EXISTING SY~TEN EVAL. RPT. <br /> <br />PAYEE: <br />RECEIVED BY:. c] <br /> <br />TOTAL :ASSESSED FEES <br />PREVIOUS RECE[ PTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> 1 $100.00 <br /> <br /> $100.00 <br /> 100.00 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />TYPE: <br /> <br />INVOICE NO: <br />,CHECK <br /> <br />SEE ATTACHED DOCUMENT FOr RFJ~UIRE~IENTS ,OF ON-SITE SENAGE SYSTE~. <br /> <br />* ~IS IS A V~IO ~IT ~ ~I~ ~T,:~PI~ 360 ~ F~ ITS I~E ~TE- IF <br />~T~OTI~ FAIG TO ~ ALL ~~ OF BTATE ~ ~O ~I~ ~N~ 8UILOINB ~D <br />Z~I~ ~IN~C~, ~IS ~IT~~ ~ ~D ~ID. <br /> <br />RBV~RKS: LOAN /~ ~ <br />DDNALD E. NOODLEY, MARION COUNTY BUILDING OFFICIAL / BY .................. ~ <br /> <br />FORM ~ MC I~S~ ~eV ~1,~8 OFFICE COPY <br /> <br /> <br />